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Radiofrequency ablation for the treatment of colorectal metastases in the liver

Guidance issued Guidance issued
 
Number: IPG92
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on radiofrequency ablation for the treatment of colorectal metastases in the liver.

Please note that this procedure was considered separately from radiofrequency ablation of hepatocellular carcinoma on which NICE issued full guidance in July 2003.

 

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result.  Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below.

Description:

Colorectal cancer arises in the colon or rectum. It is the second most common cancer in women and the third most common cancer in men in the UK. Around 50% of colorectal cancer patients will develop recurrence within 5 years of initial diagnosis, with the liver being the most common site for metastatic disease.

The standard method of treatment for patients with liver metastases from colorectal cancer is surgical resection, but fewer than 10% of patients are suitable for operation. For patients with non-resectable hepatic metastases, treatment options include systematic chemotherapy, radiotherapy, cryotherapy, alcohol injection and laser photocoagulation.

Radiofrequency ablation (RFA) is a thermoablative technique which destroys tissue by heating cancer cells to temperatures exceeding 60°C. In RFA, temperature changes are induced using high-frequency alternating current applied via an electrode or electrodes placed within the tissue to generate ionic agitation. RFA can be applied percutaneously, laparoscopically or intraoperatively.

Arrangement:

Other (see guidance)

Topic Area:

Cancer
Digestive system

Specialty:

Clinical oncology
Medical oncology

Specialist advice has been sought from:
  • Associaton of Upper GI Surgeons (AUGIS)
  • British Society of Interventional Radiologists
  • Association of Laparoscopic Surgeons
Date notified to NICE: 01 April 2002
Provisional consultation date: Spring 2009
IP Pub Date: 22 September 2004
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Steven Barnes

Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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